Contact Information

Volunteer Birthday
Country
State / Province*
Address
City
Email*
Confirm Email*
Preferred Phone*
Emergency Contact Name*
Emergency Contact Phone*
Emergency Contact Relation

Volunteer References

Please provide 3 references of non-family members as we check out our volunteers for the safety of our clients.  References can include, but not limited to, close friends, co-workers, former co-workers, or neighbors. Please include the name, phone number, email address, and how you know the individual.  Thank you for your cooperation!

Reference #1 (Provide Name, Phone, Email, and Your Relationship)*
Reference #2 (Provide Name, Phone, Email, and Your Relationship)*
Reference #3 (Provide Name, Phone, Email, and Your Relationship)*

Volunteer Information

How would you like to volunteer for CASA?  Check as many projects as you would like to be involved in.

Volunteer Interest Areas*
  • Drive Seniors to Doctor's Appointments
  • Install Grab Bars and Handrails (Volunteer provides tools)
  • CASA Warehouse (pre-build wheelchair ramps)
  • Design Wheelchair Ramps
  • Build Wheelchair Ramps
  • Handyman and minor home repairs
  • Yard Work (volunteer provides lawn equipment)
  • CASA Vegetable Garden Team Leader
  • Work in the CASA Vegetable Garden
  • Deliver Vegetables from the CASA Vegetable Garden
  • Deliver Items
  • Office Work (available during office hours, Mon. - Fri. 8:30am - 4:00pm)
  • Friendly Visitor/Telephone Reassurance
Seasonal Projects
  • Christmas Delivery Elf
  • Christmas North Pole Elf
  • Winterize Homes (TEMP$ Project)
Volunteer Availability - Mark All That Apply
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Mornings
  • Afternoons
  • Evenings
  • As Needed
  • Weekend
Additional Comments

Security Code